Gou in the operating room to add some upgrades

Chapter 225 Gilded One? (Please subscribe)

Zhang City is a tourist city. It used to be in the western Hunan region, but later it became a prefecture-level city in Xiang Province. The level of economic development is much better than that of Jishi in Fang Xian's hometown in western Hunan.

The place Fang Xian wants to go this time is the only county under Zhang City, Cixian County.

Ci County is located at the junction of Chang City and Zhang City. Fang Xian did not transfer from Zhang City, but went to Chang City and drove his own car to Ci County People's Hospital.

The county seat of Ci County is built on the Lishui River and is located on Yongtai Road and near Jinci Pedestrian Street.

Fang Xian drove directly to a nearby surface parking lot.

It was 21:[-] in the afternoon when Fang Xian arrived, but someone from the Department of Orthopedics of Ci County People's Hospital had already sent someone to greet him. He was a young man in his thirties who looked quite friendly.

Because the ground parking lot was not big and there were many cars inside, Dr. Ding was very successful in manually occupying the space. He guided Fang Xian into the parking space hand in hand and almost helped open the car door.

After Fang Xian took the initiative to get out of the car, he locked the door first.

But the other party immediately said: "Hello, Dr. Fang. Do you have any luggage? I will help you move to the dormitory."

"Don't go to all this trouble. I'll bring it over later when I go back. It's just a small box. My name is Fang Xian. Brother, you can call me Xiao Fang or Xiao Xian." Fang Xian saw that the other person was older than him and took the initiative to introduce himself.

"Ding Maoxian. Teacher Fang, you can call me Xiao Ding. Welcome Dr. Fang." Ding Maoxian stretched out his hand to shake Fang Xian's hand with extra force.

"I heard that Teacher Fang is coming. We have all been looking forward to it for a long time."

Today's counterpart support doctors who go to the countryside basically do not have the kind of theoretical doctors and article doctors who went to the countryside for counterpart support many years ago.

After the current separation of teaching titles, research titles and professional titles, only the promotion of professional titles requires counterpart support in the countryside.To come here, you must be a level 2 physician recognized by the Medical Association and an attending physician hired by this hospital.

The strength of level 2 doctors lies here. They are certified by the Medical Association and are the bosses in the department.

At the County People's Hospital, even if the director is the deputy chief physician, it is quite troublesome to pass the level 2 physician certification within the medical association.

Attending doctors like them also rely on working in the countryside and will receive preferential treatment. Therefore, they adopt a system of separation of professional titles corresponding to the Medical Association.

Otherwise, if you don't have the ability, you won't be promoted, and that's not a problem. How can the county hospital retain people?

The so-called first-level physician certification before the age of 30 is a ladder to the sky, and it is a standard for selection by teaching hospitals across the country.

"Brother Mao, you're welcome. You don't have to come to greet me." Fang Xian quickly greeted him.

Ding Maoxian said: "Actually, if Director Huang and Director Qin of the department were not delayed, they would have come to pick you up in person, Teacher Fang."

"But a few emergency calls happened to come, and now the two directors of our department are on the stage."

"Doctor Fang, please be patient."

Fang Xian quickly said: "Brother Mao, you are joking. Since both directors are in the operating room, please take me there. I will get to know the two directors first so that we can learn from each other in the future."

Although he went to the countryside to support his counterpart, Fang Xian did not dare to put on too much airs, and Fang Xian had no airs at all.

Although the county hospital is not of a high level, only Class II, it is responsible for all medical tasks in the county, and the number of emergency cases is not small. Some patients who cannot be treated by the township hospital will of course be sent to the county hospital.

If it is not convenient to send it to Zhang Municipal People's Hospital, it will be handled in the county hospital. The number of emergency patients every day is not small.

And this is near a highway. If there are emergency patients in the nearby area, they will usually be sent to the nearest hospital.

First save lives, then cure diseases.

The two of them walked all the way to the operating room.

It is estimated that the operation is really troublesome, so Ding Maoxian did not have time to introduce the situation in the department first, but first said: "Two emergency departments came in at once today, one was damaged on the front of the thigh, Director Huang was thinking Can the limb be saved? If not, then amputate it."

"The other one was the co-pilot of the same car. He suffered a burst fracture of his pelvis and an active hematoma in his pelvic cavity. We only temporarily stabilized his vital signs and immediately sought help from Director Qiu of Zhang Municipal People's Hospital. Director Qiu had just undergone surgery. The room won’t be long.”

"If the two stations are not handled well, both will be quite fatal. This is really a coincidence!"

"Severe cases of this kind used to be rare, with one case a week, and two cases a day at the same time. However, it is still very rare, and only occurs once every few months."

Although Cixian People's Hospital is not large, emergency patients may not have severe cases.

After arriving, I just resigned myself to fate and tried my best to live if I could save him, and if I couldn't, I would die.

We don't dare to try to reduce the mortality rate to less than one thousandth like in the Shonan University Affiliated Hospital.

Fang Xian's pace was not slow: "Brother Mao, please take me to the operating room for active hematoma in the pelvis first."

The outcome and fate of lower limb damage is amputation, but this patient might lose his life.

In pelvic hematoma, the maximum amount of bleeding can reach [-], and the total blood volume of the human body is only [-] to [-].

If you are thinner, the total blood volume of two people may not be enough to lose.

"The patient with active hematoma in the pelvis is in operating room 9. Let's go there."

"Dr. Fang, I'm really sorry. We had already booked a private room, brought wine, and were waiting for you to come over. We could go directly to dinner, but two difficult patients came here. I hope you don't feel that you can't entertain them. Zhou." Ding Maoxian continued to apologize.

He seemed quite trembling.

Before Fang Xian came here, he knew that in fact, doctors like him in large hospitals, even if they were just attending doctors and going to the countryside to provide support, would enjoy very high treatment, basically the same as associate professors.

Because they are here to provide support and teaching, they are quite respected.

When the two of them arrived at the door of the operating room, they had not yet entered directly. Fang Xian took the initiative to wash his hands first.

"Teacher Fang, you have just arrived and you are tired from traveling. Why don't you go on stage yet?" Although Ding Maoxian deliberately suggested that Fang Xian could go to the operating table to help.

But Fang Xian is the attending physician after all. Director Qiu, the director of the Department of Orthopedics at Zhang Municipal People's Hospital, is a real level 3 doctor!

In terms of professional title, qualifications, and experience, this is not something that Fang Xian can underestimate.

Fang Xian quickly replied: "Brother Mao, just think that I am here to eat early. I can help as much as I can, right?"

When Ding Maoxian heard this, he quickly came over and washed his hands: "Doctor Fang, you are still working actively."

In fact, Ding Maoxian and others have always felt that when a young genius like Fang Xian in his twenties goes to the countryside, it is nothing more than gold plating.

I have good talent and can learn quickly in the skills training room, so although my ability is sufficient, it can't actually help much. Those things in the skills training room will always change after they are used in clinical practice, and my coping ability will not Very strong.

Since they are gold-plated, they should also treat each other with courtesy, so that when they go out to study in the future, they will be treated well and not be offended and affect their future.

"Director Qin, Director Qiu, Doctor Fang is here." After entering, Ding Maoxian asked Fang Xian to get dressed first.

Ding Maoxian is waiting.

Director Qin probably told Director Qiu that a doctor would come to the hospital to provide support, so Director Qiu also looked sideways, his eyes tightly wrinkled, and his tone was dull: "Whose student is Doctor Fang?" Fang Xian heard this. I was stunned, what does it matter whose student I am?
But since the other party asked, Fang Xian didn't hide it: "I am Teacher Lin Hui's student. I wonder if you know me."

Fang Xian didn't know who Director Qiu was or Director Tan, so he didn't call anyone to avoid calling someone by mistake.

What I didn't expect was that Director Qiu actually knew him: "Are you Xiao Huihui's student?"

Fang Xian was stunned again.

Xiao Huihui?
TM, you say that, is it appropriate?

Fang Xian could only laugh. When he asked the circulating nurse to help tie the straps, he started to put on sterile gloves and replied: "It should be the teacher Lin Hui you mentioned, director, right?"

Qiu Chengyuan immediately explained: "Lin Hui is my junior brother, are you his student?"

"Then you can call me uncle."

In the province, if you go out from the Shonan University Affiliated Hospital, you will find people from the medical school everywhere, especially the prefecture-level municipal hospitals. This sentence is not false at all.

Any director can be involved in countless connections.

"Hello, master."

"My master has never mentioned it to me before, so I didn't recognize it, but it still looks familiar." Fang Xian replied with a smile.

A certain amount of human sophistication is necessary.

Fang Xian quickly approached the operating table.

On the operating table, a person took the initiative to give way to the second assistant's seat, which was very considerate.

At this moment, Qiu Chengyuan focused his attention on Shu Yeli again and sighed: "Look, it's a mess here! It's difficult to deal with."

Hearing this, Fang Xian took the opportunity to look inside and saw that there were many bleeding spots caused by the impact.

Moreover, it can also be seen that Qiu Chengyuan has treated a lot of bleeding points at this moment, and there are still some small amounts of bleeding. However, the most dangerous hematoma in the retroperitoneum is not yet dared to be incised and treated.

"Uncle, are you almost done with it?" Fang Xian replied after reading it.

Now the operation is simple. Compared with the damage to the pelvis and abdominal wall, this is simply pediatrics.It can be regarded as a third-level disease at most.

Qiu Chengyuan said: "It's still far from enough. After the external bleeding points are treated, the pelvic retroperitoneal bleeding is the most fatal."

"I only dare to take a break at this time. I am still too old to be as good as young people like you."

Qiu Chengyuan is probably one of the very early batch of masters.

He looks to be in his 40s. It is estimated that his teacher, even though he is Qiu Chengyuan's younger brother, did not go to school together. Lin Hui entered school long after Qiu Chengyuan graduated.

Lin Hui is still in the eight-year system...

"How about you stop the bleeding?" Qiu Chengyuan looked at Fang Xian as his junior, but still said this, wanting to help him.

To be honest, in prefecture-level city hospitals, most people don’t care what major scientific research contributions you have made. What most people are doing is to perform surgeries, prepare for the assessment of level 4 doctors, and then go to provincial hospitals. Jump.

Or, just do your job honestly, and then find out who the boss of undergraduate and junior college in the province has been.

Don't care about anything else.

"Okay!" Fang Xian did not refuse.

If you have the operation in hand, it is just a skill point, and it will be idle if you are idle.

Director Qin just handed over the electric knife and said with a smile: "Director Qiu, young doctors from big hospitals like Dr. Fang all have very good basic skills."

Director Tan smiled, then his smile froze.

I can't even say the solid words.

Because he felt that he used the wrong adjective in what he just said.

Can this be called solid?

Fang Xian's left hand seemed to be going crazy. He was digging out the bleeding points one by one like an eel, and then tapped them with the electrocoagulation equipment, then released them and went to the next place.

While he was speaking, Fang Xian had already finished bleeding four small bleeding points.

Moreover, after Fang Xian took over the operation, he said unceremoniously: "Xiu Xian, give me a silk thread, there is a small artery here!"

Stretch out your right hand.

Fang Xian's familiarity made everyone on the stage stunned.

When Fang Xian saw no one responded, he grabbed a piece of thread and twisted it in his hand. After quickly ligating it, in just one minute, the surgical field became completely dry.

Fang Xian then raised his head and asked, "Uncle Qiu, would you like to deal with the blood vessels in the pelvic cavity first, or deal with the retroperitoneal hematoma first, and then deal with the blood vessels as well?"

Qiu Chengyuan saw the clue: "Xiao Fang, do you usually stop bleeding like this?"

This Fang Xian's hemostasis technique is absolutely extraordinary. It cannot be a level 3 hemostasis technique! !

But this is too unscientific. Even if Lin Hui is in the trauma center, it is impossible to say that a student trained will be very awesome.

What mistake did Fang Xian make? Why didn't he improve his hemostasis skills by improving his professional skills?
At your age, does the director's physician rating assessment have anything to do with you?
Generally speaking, for physician level assessment and certification of doctors from Level 1 to Level 3, there are only quantitative requirements for Level 3 skills, and there are no level requirements for Level 4 skills.

You're not a professor or a chief physician, so who needs you to tell the truth?
"Absolutely?" Fang Xian thought for a moment and nodded.

"Director Qiu, why don't we just deal with the retroperitoneal hematoma? If we put it here, it will look like a time bomb." Fang Xian felt it was an eyesore.

Compared to the complete destruction of the pelvis and the damage to half of the abdomen, such a minor surgery is nothing short of childish.

"Ang." Qiu Chengyuan was stunned and nodded.

Then his head became even more confused.

Fang Xian's hand just pushed inside, and he could see that the retroperitoneal hematoma had passed through the gap, and he didn't know where it was pushed.

This move seemed familiar to Qiu Chengyuan. It was the concept of pushing blood in the level 4 hemostasis operation.

But then, when Fang Xian used the blood separation technique to push the hematoma into different sealed spaces and isolate the retroperitoneal hematoma, he was completely confused.

What kind of level 4 skill is this?
Is this gold plated?Is he gold-plated?
(End of this chapter)